Histologic review of melanomas by pathologists trained in melanocytic lesions may change therapeutic approach in up to 41.9% of cases.

Anais Brasileiros De Dermatologia
Nathalie Mie SuzukiLuiz Guilherme Martins Castro

Abstract

Melanoma Guidelines of the Brazilian Dermatology Society recommend histologic review by pathologists trained in melanocytic lesions whenever possible. Out of 145 melanoma cases identified at a private clinic in São Paulo/Brazil, 31 that had been submited to histologic review were studied to evaluate whether revision had led to change in therapeutic approach.. Differences in original/reviewed reports were found in 58.1% (n=18) of the reports, leading to changes in therapeutic approach in 41.9% (n=13). Change in diagnosis was observed in 6 out of 31 (19,3%) cases. These findings suggest that second opinion by pathologists trained in melanocytic lesions is likely to show significant differences from the original report.

References

Mar 29, 2002·The Journal of Pathology·Lieve BrochezJean-Marie Naeyaert
May 22, 2002·Archives of Dermatology·Karen S McGinnisRosalie Elenitsas
Dec 17, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alfredo A SantillanJonathan S Zager
Mar 23, 2010·Journal of the American Academy of Dermatology·B Aika ShooMohammed Kashani-Sabet
Sep 26, 2013·The American Journal of Surgical Pathology·Richard A ScolyerUNKNOWN International Collaboration on Cancer Reporting
Jan 7, 2016·Anais Brasileiros De Dermatologia·Luiz Guilherme Martins CastroGabriel Gontijo

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